Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $138.04	Professional		$20.89	$33.88	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $14.45 / $43.65	Professional	26	$5.01	$14.45	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.12 / $66.07	Professional	TC	$15.85	$25.12	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $19.95	Professional		$14.45	$14.79	$19.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $3.16 / $8.51	Professional	26	$3.09	$3.16	$8.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $11.75 / $15.85	Professional	TC	$11.75	$11.75	$15.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $69.18	Professional		$14.79	$31.62	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.39 / $7.24 / $12.59	Professional	26	$3.39	$7.24	$12.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $24.55 / $58.88	Professional	TC	$10.96	$24.55	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.44 / $53.70	Facility		$21.88	$23.44	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.31 / $3.55 / $6.61	Facility	26	$3.31	$3.55	$6.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $83.18	Professional		$14.13	$22.91	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $5.13 / $13.80	Professional	26	$3.16	$5.13	$13.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $16.22 / $58.88	Professional	TC	$10.72	$16.22	$58.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $281.84	Professional		$269.15	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $234.42	Professional	TC	$229.09	$229.09	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $70.79	Professional		$16.98	$29.51	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $6.17 / $12.59	Professional	26	$3.89	$6.17	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $22.39 / $54.95	Professional	TC	$12.88	$22.39	$54.95